Active NPI
Kurt Wayne Hediger, D.C.
- Chiropractor
- Wasilla, AK
National Provider Identifier
1316060460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 243
- Practice address
- 2361 W Melanie Ave
Wasilla, AK 99654-6137 - Phone
- (907) 841-5944
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 243 | AK | Primary |
Addresses
Primary practice location
2361 W Melanie Ave
Wasilla, AK 99654-6137
Mailing address
PO Box 872091
Wasilla, AK 99687-2091
Phone (907) 841-5944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients |
Locations
1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682
122 1st Ave
Ste 106
Fairbanks, AK 99701
Interoperability endpoints
- kurt.hediger.1@15989.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1316060460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 872091",
"city": "WASILLA",
"state": "AK",
"postal_code": "996872091",
"telephone_number": "907-841-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 W MELANIE AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546137",
"telephone_number": "907-841-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDIGER",
"first_name": "KURT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.